Diabetes in South and Central America: An update

Authors
Aschner, Pablo; Aguilar Salinas,Carlos; Aguirre, Loreto; Franco, Laercio; Gagliardino, Juan Jose; Gorban de Lapertosa, Sylvia; Seclen, Segundo; Vinocour, Mary
Publication Year
2013
Language
English
Format
article
Status
Published version
Description
The estimated population of the South and Central America (SACA) Region is 467.6 million and 64% is in the age range of 20–79 years but the population pyramid and age distribution are changing. The average prevalence of diabetes in the Region is 8.0% and is expected to reach 9.8% by the year 2035. Prevalence is much lower in rural settings than in urban and the differences attributed to lifestyle changes may be a target for intervention. The indigenous population is a particularly vulnerable group needing special attention. On average, 24% of the adult cases with diabetes are undiagnosed but in some countries this is still as high as 50%. Health expenditure due to diabetes in the Region is around 9% of the global total. Inadequate glycemic control, defined as HbA1c >7%, is a strong predictor of chronic complications which increase resource use in the Region and less than half of the patients enrolled in diabetes care programmes are at target. Fifty percent or more of the adult population is overweight/obese and around one third of the adult population has metabolic syndrome using regional cutoffs for waist circumference. The number of people with IGT is almost equal to those with diabetes presenting an additional challenge for prevention. Children with type 1 diabetes represent only 0.2% of the total population with diabetes but the incidence may be increasing. In many places they have limited access to insulin, and even when available, it is not used appropriately. The available epidemiological data provide the background to act in developing national diabetes programmes which integrate diabetes care with cardiovascular prevention and promote diabetes prevention as well.
Fil: Aschner, Pablo. Pontificia Universidad Javeriana; Colombia. Hospital Universitario San Ignacio; Colombia
Fil: Aguilar Salinas,Carlos. Instituto Nacional de Ciencias Médicas y Nutrición; México
Fil: Aguirre, Loreto. Asociación de Diabéticos de Chile; Chile
Fil: Franco, Laercio. Universidade de São Pablo. Facultade de Medicina de Riberão Preto; Brasil
Fil: Gagliardino, Juan Jose. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Cientifico Tecnológico La Plata. Centro de Endocrinologia Experimental y Aplicada (i); Argentina
Fil: Gorban de Lapertosa, Sylvia. Universidad Nacional del Nordeste; Argentina
Fil: Seclen, Segundo. Universidad Peruana Cayetano Heredia; Perú
Fil: Vinocour, Mary. Universidad de Costa Rica; Costa Rica
Subject
diabetes
South and Central America
glycemic control
prevalence
Endocrinología y Metabolismo
Medicina Clínica
CIENCIAS MÉDICAS Y DE LA SALUD
Access level
Restricted access
License
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
Repository
CONICET Digital (CONICET)
Institution
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identifier
oai:ri.conicet.gov.ar:11336/5339